The application of EVAR in the treatment of octogenarian patients with abdominal aortic aneurysm
10.3760/cma.j.issn.1008-6706.2015.22.029
- VernacularTitle:腔内修复技术在高龄腹主动脉瘤治疗中的应用
- Author:
Wei ZHOU
;
Jun XIN
;
Jianping ZHOU
;
Jun LU
;
Wei DU
;
Weiyang LI
- Publication Type:Journal Article
- Keywords:
Abdominal aortic aneurysm;
Octogenarian;
EVAR;
Minimally invasive
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(22):3451-3453,3454
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of EVAR in the treatment of octogenarian patients with abdomi-nal aortic aneurysm.Methods 16 octogenarian patients aged over 80 years who treated with EVAR were collected. Mean age was (87.0 ±6.2)years and included 11 cases in male,2 cases in emergency.All the cases were infrarenal abdominal aortic aneurysm and 11 cases (69%)were the complex aortic anatomy.According to ASA classification, 11 cases (69%)were class Ⅲ and 5 cases (31%)were class Ⅳ.All patients were followed up with CT for 1 month to 3 years.We evaluated technical success rate,perioperative complications and the application characteristics of EVAR in the treatment of octogenarian patients with abdominal aortic aneurysm were analyzed.Results All the patients were operated with EVAR,the success rate was 100%,12 Endurant endografts and 4 Talent endografts were used.Mean operation time was (92 ±25)min and mean hospital stay length was (17 ±9.5)days.1 patient died with heart failure in 3 days after operation.1 patient died due to the Ⅰ endoleak and 4 patients died due to other fators. Conclusion For the octogenarian abdominal aortic aneurysm patients,EVAR is the preferred treatment with accepta-ble procedural success and perioperative morbidity.Those patients have characteristics in the physiological function and anatomy,so we should take measures to prevent the complications.The medium and long -term results suggest that EVAR may be of limited in some patients who are aged over 80 years.
